-Involve those whose behavior has to be changed to bring the desired improvement, in planning the action to be taken. Involve all the persons affected in all the steps of the improvement cycle;
-Use objective, impersonal evidence as much as possible in the action planning process;
-As far as possible, ensure the initiative and active participation of those in the most powerful and influential positions in the improvement programme; and
-Conduct the action planning in a supportive, helpful atmosphere.